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临床资料患者,男,52岁。因体检发现右肺中叶占位1周入院。胸部CT示右肺中叶占位,直径约3 cm,可见分叶及毛刺。临床诊断右肺中叶肺癌可能性大。头颅CT示鼻咽部软组织肿胀。鼻咽部磁共振成像(MRI)示鼻咽后顶壁增厚,双侧腮腺及颈部淋巴结增多、部分增大。患者鼻咽部病变及颈部淋巴结肿大原因不明,建议全身正电子发射断层计算机扫描技术(PET-CT)及鼻咽部组织活检。PETCT示右肺中叶外侧段软组织肿块,分叶状,邻近胸膜皱缩,
Clinical data patients, male, 52 years old. Due to physical examination found that the middle of the right lung for 1 week admission. Chest CT showed the middle of the right lung occupies a diameter of about 3 cm, visible lobulation and burr. Clinical diagnosis of right lung lung cancer is likely. Head CT showed nasopharyngeal soft tissue swelling. Nasopharyngeal magnetic resonance imaging (MRI) showed thickened nasopharyngeal wall, bilateral parotid gland and neck lymph nodes increased, partially increased. Patients with nasopharyngeal lesions and cervical lymph node enlargement for unknown reasons, the proposed whole body positron emission tomography computerized tomography (PET-CT) and nasopharyngeal biopsy. PETCT showed the right middle lobe of soft tissue mass, lobulated, adjacent pleural shrinkage,